DR. RICHARD LEWIS GRAHAM (NPI# 1205066982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205066982 |
Entity Type | Individual |
Full Name | DR. RICHARD LEWIS GRAHAM |
Other Name | DR. DICK LEWIS GRAHAM |
Credential | PHARMD |
Practice Address |
100 Fergus St Roy MT 59471-0014 |
Practice Telephone | 4064647571 |
Mailing Telephone | 4064647571 |
Enumeration Date | 2009-07-16 |
Last Update Date | 2009-07-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 1838 | MT | Pharmacy Service Providers |
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
1838 | MT | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | MONTANA BOARD OF PHARMACY LICENSE NUMBER | 1838 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215598420 | Richard Anthony Graham | Counselor | 4716 Shoal Creek Ct, Wesley Chapel, FL 33543-6965 | 2019-06-27 |
1346673811 | Richard Allen Graham | Social Worker | 11 Driftwood Ct, Asheville, NC 28805-1614 | 2013-08-19 |
1992031561 | Richard Dwight Graham | Occupational Therapy Assistant | 3270 Lynn Ridge Dr Apt 2e, Raleigh, NC 27613-8921 | 2009-11-02 |
1306008990 | Richard Craig Graham | Specialist | 4635 Olson Lake Trl N, Lake Elmo, MN 55042-9530 | 2008-06-26 |
1366547341 | Richard William Graham | Dentist | 456 Patillo Ct, Spartanburg, SC 29301 | 2006-09-14 |
1801908579 | Richard S Graham | Dermatology | 460 34th St, Oakland, CA 94609 | 2006-08-31 |
1215043104 | Richard Francis Graham | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-22 |
1467994699 | Richard Graham | Counselor | 105 Main St N, Hazleton, IA 50641-7708 | 2016-11-04 |
1881960029 | Richard Tanner Graham | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-03-30 |
1114227832 | Richard Graham | Pharmacist | 520 Cleveland Ave Se, Tumwater, WA 98501-3313 | 2010-10-27 |
Street Address |
100 FERGUS ST |
City | ROY |
State | MT |
Zip Code | 59471-0014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750593901 | Roy Ambulance Service Inc | Ambulance | 123 Main St, Roy, MT 59471-0202 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715588 | Ana Maria Sanchez | Behavior Technician | 2730 W 4200 S, Roy, UT 84067-9654 | 2020-09-18 |
1093329948 | Ryan Patrick Renkiewicz | Specialist/Technologist | 2150 W 4800 S, Roy, UT 84067-1844 | 2020-09-08 |
1841802352 | Usa Vascular Centers of Utah LLC | Surgery | 3479 W 4800 S Ste A, Roy, UT 84067-9429 | 2020-08-18 |
1558972216 | Matthew Stalnik | Physical Therapy Assistant | 35025 90th Ave S Ste 4, Roy, WA 98580-8218 | 2020-08-14 |
1790301380 | Phillip M Lintzenich | Student in an Organized Health Care Education/Training Program | 4048 W 5000 S, Roy, UT 84067-8350 | 2020-06-19 |
1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
1922639780 | Cody Hymas | Pharmacist | 3443 W 5600 S Ste 110, Roy, UT 84067-9106 | 2020-01-30 |
1417415852 | Jerrin Kenneth Snook | Physical Therapist | 5991 S 3500 W Ste 300, Roy, UT 84067-6702 | 2019-03-05 |
1639649916 | Midland Pharmacy, LLC | Pharmacy | 4815 S 3500 W, Roy, UT 84067-9439 | 2018-11-29 |
1699241869 | Kasaundra Sanchez | Home Health Aide | 29602 64th Ave S, Roy, WA 98580-8700 | 2018-10-15 |
Find all providers in ROY |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295870061 | Dixie L Demko | Pharmacist | 2509 7th Ave S Ste C1, Great Falls, MT 59405-3031 | 2007-02-20 |
1548482334 | Diane Williams Rankin | Pharmacist | 3940 Rimrock Rd, Billings, MT 59102-0141 | 2007-05-03 |
1891907804 | Lisa Lindquist | Pharmacist | 2509 7th Ave S, Suite C1, Great Falls, MT 59405-3030 | 2007-05-03 |
1487876249 | George William Schissler | Pharmacist | 3940 Rimrock Rd, Billings, MT 59102-0141 | 2007-05-02 |
1336361153 | Katherine A Stevenson | Pharmacist | 3940 Rimrock Rd, Billings, MT 59102-0141 | 2007-05-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.